NPI 1265887608 AMANDA WILSOM SAINT CHARLES MO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Amanda Wilsom - NPI: 1265887608

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: AMANDA WILSOM
NPI Number: 1265887608
Entity Type Code: Individual (1)
Gender: F
Credentials:
License Number: 2016009976
Business Practice Address: 4031 San Fernando Ln
Saint Charles, MO - 633042831
Business Phone Number: 6365842302
Business Fax Number:
Mailing Address: 4031 San Fernando Ln,
SAINT CHARLES
State: MO
Postal Code: 633042831
Phone Number: 6365842302
Fax Number:
NPI Enumeration Date: 05/03/2016
NPI Last Update Date: 05/03/2016
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 235Z00000X
License Number: 2016009976
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MO
Taxonomy Type: Speech, Language and Hearing Service Providers
Taxonomy Classification: Speech-Language Pathologist
Taxonomy Specialization:
Taxonomy Definition:
A speech pathologist is a person qualified by a master


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